HomeMy WebLinkAbout1904 Dectaration af Domicite ana v~tizensn~p
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TO THE C1.EAK OF THE C1RCUIT COURT. '3~ss~0
ST. LUC I E ~,pU~y. ~,p~A: • :
TAis b any deeluation ot Domiclle aad Citiseashlp iA ths State ot ~lo~ida tbat I am ~ this d~y ia ~eeoedanes. aad ia
conformitr with Sectlasa 222.17. I~`lorida 3tatutes.
I w?as to~ a kgaJ resideat ot ~f,-~~k ~ T
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resided at ~r~o , i~Ai n i G~,,, I~Oa - Ho~?~e,rer. I aave eluaged my domicik to °
T- t t+~K-i~d No~b~N ~ ~
and am and bave beea a bona fide t~estdent ot tAe State at Flucida ainos c da~? ot
~ l9~ and I reside aL . •
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aad this statemedt is to 6e takea u apr declantion oi ati~ea~hip. actuai kgal resideaos and doadak in tbs State at FMrida.
IF FOR THE PURP~SE Of ENROLLING Ii iOR HOMEStEAG PURPOSES~
CHIL~REN tN SCHOOL~ P4EASE STI?TE P~EASE CHECK: ~
THEIR NAMQSt
. iilEC s~: R~COitQEO
' sT. LIiC1E ~OUMTY fLA.
ROGE?~ F~t~RAS
CLERt C~~CtAT COURT
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I FiJRTHER CERTIFY that 1 will register at my local address when the registration booi~s reopen, aad eomply arith aU
other requirements of s legal resident ot tbis Stale. ±
1 FURTHEr'i CERTI that I have no int~ntion to return to my former doraicile. and I iatead to remain in ~
' ~i2t- ? ev~t f_ E , ST . L UC 1 E . County.
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F'lorids, permancnti; . '
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Sworn to and subscribed before me this ~ day ot ~ ~ }
~ . A.D.19 7~
ROGER POi TRAS, CLERK OF C iRCUi T COl~2T
SY. t_UC i E GQUNTY, FLOR t DA
BY: 1 r
E P Y L E R K BOOK !.~'Zt~ PAGf 1904
AGO Porm TI-22
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